Analysis of the Vehicle Inventory and Use Survey for Trucks ... - About
Analysis of the Vehicle Inventory and Use Survey for Trucks ... - About
Analysis of the Vehicle Inventory and Use Survey for Trucks ... - About
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ITEM 29<br />
a. At any time during 1997 was this vehicle (or combination) used to haul hazardous materials in<br />
quantities large enough to require a hazmat placard on <strong>the</strong> vehicle due to Title 49, CFR 177.823,<br />
Transportation?<br />
550 1 Yes – Continue with item 29b 2 No – GO to item 30<br />
b. What type(s) <strong>of</strong> hazardous materials were carried by this vehicle? Write in <strong>the</strong> approximate percent <strong>of</strong><br />
<strong>the</strong> vehicle’s 1997 mileage which accounted <strong>for</strong> each hazardous material carried.<br />
NOTE – Indicate only percents <strong>for</strong> those hazardous materials carried in quantities large enough to require a<br />
hazmat placard placed on <strong>the</strong> vehicle.<br />
ITEM 30<br />
Please indicate below <strong>the</strong> total number <strong>of</strong> trucks, truck tractors (power units), <strong>and</strong> trailers owned<br />
<strong>and</strong>/or operated by you or your company.<br />
NOTE – <strong>Trucks</strong> refer to pickups, small vans (including minivans), <strong>and</strong> straight trucks. Trailers refer to semi<br />
<strong>and</strong>/or full trailers. Do not include utility trailers. Subsidiaries <strong>of</strong> companies should report fleet size<br />
<strong>for</strong> <strong>the</strong> respective subsidiary only.<br />
Mark (X) ONE box only.<br />
ITEM 31<br />
FORM TC-9502<br />
Placard name<br />
Explosives 1.1<br />
Explosives 1.2<br />
Explosives 1.3<br />
Explosives 1.4<br />
Explosives 1.5<br />
Explosives 1.6<br />
Flammable gas<br />
Nonflammable gas<br />
Poisonous gas<br />
Flammable<br />
Combustible<br />
600 01<br />
02<br />
1<br />
2 to 5<br />
03<br />
04<br />
Former<br />
placard name<br />
(if different)<br />
Explosives A<br />
Explosives A<br />
Explosives B<br />
Dangerous<br />
Blasting agents<br />
Dangerous<br />
6 to 9<br />
10 to 24<br />
05 25 to 99<br />
06 100 to 499<br />
500 to 999<br />
1,000 to 4,999<br />
Remarks – Please use this space <strong>for</strong> any explanations that may be important in underst<strong>and</strong>ing your reported data.<br />
ITEM 32 Contact In<strong>for</strong>mation<br />
a. Name <strong>of</strong> person to contact regarding this report b. Address (Number <strong>and</strong> street)<br />
Former<br />
Percent Placard name<br />
placard name<br />
(if different)<br />
Percent<br />
% Flammable solid<br />
562<br />
% Spontaneously combustible Flammable solid<br />
563<br />
% Dangerous when wet Flammable solid W<br />
564<br />
% Oxidizer<br />
565<br />
% Oxygen<br />
566<br />
% Organic peroxide<br />
567<br />
% Poison<br />
568<br />
% Keep away from food (none required)<br />
569<br />
% Radioactive<br />
570<br />
% Corrosive<br />
571<br />
% Class 9<br />
(none required)<br />
572<br />
c. City d. State e. ZIP Code<br />
551<br />
552<br />
553<br />
554<br />
555<br />
556<br />
557<br />
558<br />
559<br />
560<br />
561<br />
5,000 to 9,999<br />
10,000 or more<br />
f. Daytime<br />
telephone<br />
number<br />
Area code Number Extension (If any) g. If this vehicle has a fleet number, please enter it here<br />
h. Signature <strong>of</strong> authorized person i. Title j. Date<br />
07<br />
08<br />
09<br />
10<br />
<br />
%<br />
%<br />
%<br />
%<br />
%<br />
%<br />
%<br />
%<br />
%<br />
%<br />
%<br />
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